Organization
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
Active
Organization
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
Active
Other names
Baptist Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH H MULLINS (DIRECTOR OF CLINIC ADMINISTRATION)
(601) 292-4261
Entity
Organization
Contact information
Practice address
828 GRAND AVENUE, YAZOO CITY, MS 39194
(662) 746-2261
(662) 751-8173
Mailing address
1151 N STATE ST, SUITE 504, JACKSON, MS 39202-2407
(601) 292-4261
(601) 292-4262
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
06730
MS
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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